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Nursing home report

Rockwall Nursing Care Center

Rockwall, TX · Medicare-certified · 192 beds

Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall

Rockwall Nursing Care Center has an overall rating of 2 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating, despite a 5-star quality measures rating. It reports 3.26 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $32,046 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2612 hrs/resident/day

Quality measures

Last inspection: July 29, 2026Penalties, last 24 months: $32,046recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2612.

Staffing detail

Registered nurses
0.37
Licensed practical nurses
1.20
Nurse aides
1.68
Weekend nursing
2.95

Hours per resident per day.

Total staff turnover: 92%
Registered nurse turnover: 89%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

11.6%13.6%Worsening

Residents with a fall causing major injury

7.1%2.5%Improving

Residents with pressure ulcers (bedsores)

2.6%0%Improving

Residents with a urinary tract infection

1.2%0%Improving

Residents who lost too much weight

4.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10%12.3%Worsening

Residents whose ability to walk got worse

9.7%1.9%Improving

Long-stay residents on antianxiety or sleep medication

20%12.1%Improving

Short-stay residents newly given an antipsychotic

—3.3%—

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

16.1%16.2%No change

Residents with depressive symptoms

1.2%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—100%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: E

The home failed to keep residents’ personal and medical records private and confidential. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 583 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  9. PENALTY

    A federal fine of $16,149 was recorded.

  10. PENALTY

    A federal fine of $24,845 was recorded.

  11. PENALTY

    A federal fine of $15,897 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $58,059 in total fines.

  • Federal fine

    Oct 21, 2025

    $16,149
  • Federal fine

    Nov 1, 2024

    $15,897
  • Federal fine

    Nov 18, 2023

    $26,013

Operator & ownership

Recent ownership change · Dec 1, 2023

Now operated by West Wharton County Hospital District, previously Rw Scc LLC.

Ownership
For profit - Individual
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
Occupancy
81 residents on an average day (42% of 192 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 32 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.